Inspection on 20/12/05 for Quintaville

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Quintaville 27/04/09

Quintaville 18/06/08

Quintaville 02/07/07

Quintaville 09/01/07

Quintaville 29/09/05

Quintaville 11/02/05

Quintaville 06/07/04

Quintaville 24/03/04

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Poldhu

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Quintaville 1 Quinta Road Torquay Devon TQ1 3RJ Lead Inspector James Rose Unannounced Inspection 20th December 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Quintaville Address 1 Quinta Road Torquay Devon TQ1 3RJ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01803 328289 L Murphy & Co Ltd Mr John Francis Murphy Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Learning registration, with number disability over 65 years of age (32), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (32), Old age, not falling within any other category (32), Physical disability over 65 years of age (32) Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: Quintaville is a residential home that is registered for persons in the categories of: Dementia, Old Age, Learning disability, Mental Disorder and Physical Disability. The home has 32 beds in a range of single and double rooms many with on suite facilities. At the front of the building there is a small well tended garden and a courtyard area is found at the rear, which can be accessed by service users through a large patio door. On road parking is available at the front of the home. The home has three floors and a vertical lift is provided for service users who have mobility issues. A Parker bath is available for persons who need this facility. Four lounges are available which provides different environments in each. Meals are taken in a separate dining room at small tables seating up to four persons. Off the dining area there is a dedicated room provided for hairdressing. The home is within walking distance of local shops. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that was undertaken over four hours on 20th December 2005. A tour of the communal areas of the home was undertaken and samples of the care records were examined. Four residents were consulted individually about the service provided at the home. The manager of the home assisted throughout the inspection process. What the service does well: What has improved since the last inspection? The home continues with the redecoration and running maintenance programme. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 The registered manager completes an assessment of the needs of a prospective resident prior to them being offered a place at Quintaville this approach ensures that the home can provide an appropriate service. EVIDENCE: Three assessments that had been completed were examined at the inspection and these demonstrated that the appropriate areas had been covered and all needs were addressed. Four residents were consulted on the day and they all advised that they did not have any needs that were not met at the home. Standard 6 refers to a service not provided at Quintaville. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,9 and 10 The care plans at the home were comprehensive in the areas of health and personal needs but needed further development of the social needs of residents. Service users are able to self medicate subject to a risk assessed approach; the homes administration of medication ensures that residents are safe. Residents were treated with respect and their privacy was maintained. EVIDENCE: Three care plans were examined during the inspection process, health and personal needs were comprehensively covered but the social needs element required further development to enable the care staff to provide an appropriate service. This was a requirement raised in the last report that was produced from the announced inspection that was undertaken on 29th September 2005 and a date was agreed by which the work would be completed. Unfortunately this was not met and the requirement has been repeated here and a new date agreed. Regular reviews are undertaken of the care plans to ensure that the Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 10 service provided is adjusted to accommodate any change in an individuals needs. Residents who have the capacity and wish to self medicate are able to do so subject to a risk assessed approach. The administration of medication records undertaken by the home were examined and found to be clear, complete and up to date. Medication was booked in appropriately and a detailed returns record was available of all unused medication returned to the pharmacist. All medication held at the home has appropriate secure storage including medication subject to the controlled process. Four residents were consulted in private during the inspection and they stated that they were always treated with respect and had a good relationship with their carers. The way care was delivered was observed during the inspection and it was clear that residents privacy was seen as important particularly when they were assisted with their toilet and bathing, staff were seen to knock on doors before entering a residents room. Appropriate interaction was overheard between carers and residents with a good deal of friendly banter being evident. Residents were seen to be treated with respect and were not hurried when assisted with their mobility. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Residents have a lifestyle at the home that they prefer and are comfortable with. Social needs were met and visiting is unrestricted. Support and assistance is provided for residents to enable them to exercise choice and control over events that affect them. A wholesome diet is provided and is served in a dedicated dining room. EVIDENCE: Four residents were consulted individually and in private during the inspection, they all advised that they liked living at the home and got on well with their carers. All the residents consulted said they were very happy with the quality of the food provided at Quintaville. One resident stated, “You couldn’t do better than this and I’m well looked after” another remarked, “ The foods’ good and you can have what you like you don’t have to stick to what’s on the list”. Activities and trips out are arranged and residents were unable to make any suggestions of any additions that they would like. Residents confirmed that they were able to have visitors at anytime. The home is able to offer accommodation to any visitor who has travelled a long distance. Visitors were able to enjoy a meal with their relative/friend if they so wished. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 12 No charge was made by the home for visitors to have accommodation or for their meals. The way care was delivered was observed during the inspection, staff were seen to take time with residents to enable them to have space to reach their own decisions and time to change their mind if they wanted to. Residents confirmed that they felt they were in charge of their life, but were supported by the home. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Complaints were dealt with appropriately and were always taken seriously. Residents are protected from all forms of abuse. EVIDENCE: All the service users consulted were confident that if they raised an issue with the manager it would be taken seriously and resolved quickly to their satisfaction. Residents were aware of the home’s procedure but had not had occasion to use it. The home has a full policy and procedure that covers all types of abuse and training is given to carers to ensure they recognise abuse when they see it and take appropriate action. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quintaville is a safe and comfortable home. An extension is required to the emergency call system to ensure residents’ have appropriate access. The home is clean and good standards of hygiene are evident. EVIDENCE: A tour of the communal areas of the home was undertaken during the inspection and it was clear that Quintaville provides a safe, clean and well maintained environment for the people who live there. The home has a programme running for the fitting of thermostatic valve control of all hot water outlets and radiator covers are also being provided; currently any hazard is covered by a risk assessment approach to ensure residents are safe. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 15 Some toilets in the home do not have an operational emergency call system available, this was discussed with the manager at the last inspection and he agreed to ensure that this was rectified within six weeks, unfortunately this was not achieved and the requirement has been repeated in this report with a new timescale agreed with the management. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 The needs of service users are able to be met by the experienced care team at all times. EVIDENCE: The care hours provided at the home remain at the same level as at the last inspection. Residents confirmed that they were always able to get the assistance of a carer if they needed it and that the call bell system was answered promptly. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 and 38 Residents’ financial interests are appropriately safeguarded. The management of the home takes health and safety issues seriously and appropriate processes are undertaken to ensure people are safe. The emergency call system in the home needs to be extended. EVIDENCE: The financial records of four residents were checked at this inspection, these were found to be correct in every respect and the cash available was also correct. Individual bank accounts in the residents’ name have been opened for each person that requires support with the management of their pocket money, receipts are retained by the home for any purchases made on behalf of a resident. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 18 Health and safety issues were clearly seen as being important by the management of the home. The records of the fire precautions undertaken were examined and were found to be correct and up to date. The regulations covering the storage and use of harmful chemicals were in place and appropriate secure storage was provided. Reporting of dangerous occurrences was undertaken when required and electrical testing and appliance checks were completed at appropriate intervals. Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 2 Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement The registered manager must ensure that the service user plan has a comprehensive social element. (Previous date for completion not met 31.10.05) The registered manager must ensure that all rooms have a working emergency call system. Timescale for action 28/02/06 2. OP38 13 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Quintaville DS0000018414.V262507.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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